Individual
JESSE R CAROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3103 ALMA HWY, VAN BUREN, AR 72956-5027
(479) 474-4483
(479) 262-5041
Mailing address
3103 ALMA HWY, VAN BUREN, AR 72956-5027
(479) 474-4483
(479) 262-5041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
03/21/2023
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